# GRUPO OTORRINOLARINGOLOGICO DE PR CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396772539
- **Authorized official:** JOSE R SANCHEZ SR. MD (PRESIDENT)
- **Authorized official phone:** (787) 785-8981

## Contact information

- **Practice address:** 1845 CARR 2 STE 105, BAYAMON MEDICAL PLAZA, BAYAMON, PR 00959-7203
- **Practice address phone:** (787) 785-8981
- **Practice address fax:** (787) 776-1511
- **Mailing address:** BAYAMON MEDICAL PLAZA 1845 CARRETERA 2, SUITE 105, BAYAMON, PR 00959-7203
- **Mailing address phone:** (787) 785-8981
- **Mailing address fax:** (787) 776-1511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 11711 | PR | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 12188 | PR | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 12/01/2014